Individual provider Active NPI

Tambra Lajoy Ratledge, FNP-C

  • Family Nurse Practitioner
  • Fallbrook, CA
National Provider Identifier
1689307779
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95021665 Issued in CA
Practice address
1035 S Main Ave
Fallbrook, CA 92028-3338
Phone
(760) 291-6700
NPI assigned
Jul 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95021665 CA Primary
Registered Nurse 163W00000X 739351 CA

Addresses

Primary practice location

1035 S Main Ave
Fallbrook, CA 92028-3338

Mailing address

195 Page Mill Rd Ste 103
Palo Alto, CA 94306-2073
Phone (888) 731-8994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221029000330 CA Practitioner - Nurse Practitioner 9335516657 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Graybill Medical Group IncGroup PAC ID 9335050517, 103 clinicians

Practice addresses (Care Compare)

1035 S Main Ave
Fallbrook, CA 92028-3338
Phone (866) 228-2236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
739351CAMDRegistered Nurse
95021665CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Medical Group PC CurrentSince Sep 1, 2022 Accepting new patients
Vitality Medical Group PC CurrentSince Sep 1, 2022 Accepting new patients
Graybill Medical Group Inc CurrentSince Nov 11, 2024 Accepting new patients

Locations

225 E 2nd Ave
Escondido, CA 92025

1035 S Main Ave
Fallbrook, CA 92028
Phone (760) 728-2777

901 S State St
Ste 100
Hemet, CA 92543
Phone (951) 925-8082

27699 Jefferson Ave
Ste 210
Temecula, CA 92590
Phone (951) 389-0500

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1689307779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 PAGE MILL RD STE 103",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943062073",
            "telephone_number": "888-731-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 S MAIN AVE",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283338",
            "telephone_number": "760-291-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATLEDGE",
        "first_name": "TAMBRA",
        "middle_name": "LAJOY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95021665",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "739351",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fallbrook, CA

Sources for this page

Verify at the official NPI Registry.